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HomeMy WebLinkAboutStreet Cut public utility 9999 Deerfield 1100009 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/07/11 ' �' GIS ID:27309999 �> FEE: .00 MUNIS APPLICATION# 201100157 y � IRATION DATE: i ! j APPLICAN ._ �, LOCATION NAME: CONNECTICUT WATT -01IPj ryRE 9 9 DIRFIELD LANE ADDRESS: 25 NORTH ROAD - �TAl SOUTH WINDSOR EAST WINDSOR,CT 0W8 y � ``� AcWI LIVAN AVE A A WIND CT 060742734 PHONE 860-623-3355 1 A 4 1 ' /� IRA Mot WORK DESCRIPTION: EMEICCR� sLD AND SCOTT DR APPLICANT AGREES TO FURNISH THE ND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANI-�PSENCU TI4GIAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THE PL J P �L ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN OF S JT SR IT MANUAL. ISSUED BY DATE INSPECTED INSPECTED BY 3/7/201112:25PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** Ar atl IN Jr- jk Ai Wff� w i RL i ii% i TM riwl gp !i / j TOWN OF SOUTH WINDSOR INSPECTION REPORT PERMIT NO.: Ono o / CONTRACTOR: LOCATION: Lee TYPE OF WORK: 61 44 A)a 4t DATE INSP NEEDED: DATE INSP: ��g INSPECTED BY: A WORK IN PROGRESS: ff © "A I y ' c"Al /►'fie. -Vo —Jai_60t- -T`�✓vt �. (l�aclo SEPTIC TANK PUMPED, SMASHED, FILLED WITNESSED ❑ YES ❑ NO AS-BUILT: INPUT: ri DATE: �' l S/FORMS/TOWN OF SOUTH WINDSOR INSPECTION Mar. 7. 2011 10: 18AM CT Water Northern Region No, 9188 P. 1 APPLICATION FOR STREET EXCAVATION PERMIT Appl, No. TOWN OF SOUTH WINDSOR Permit No, ptlgl.IC WORKS DEPARTMENT .1540 SULLIVAN AVENUI. Date: SOUTH WINDSOR,CT 06074 FEE$25.00 Name of Firm C©;v�v«rrj,,r A14nx- C° Phone No. d t3.3355 Address of Firm Zr ayM &a-db .• ,, - SIP Coda 6&0 Erg Location of proposed wo Sea Describe fully nature of petrnk requested ,E Starting d€de Approx,I;me for oomplailon a d r s Call Before You Dig No,___ _ Existing Water.Supply; PfPubrio Water 0 Well Existing Sewage Service; C7 Public Sewer - D Septic PLEASE NOTE; *'HE DEPOSIT FOR THE PERMANENT PAVEMENT`PATCH AND CURS REPL bEWIE— IS A PRELIMINARY ESTIMATE, THE APPLICANT IS RESPONS1BLIE FOR TH6I UL'L FINAL COST OF THE -PERMANENT PATCH AND CURD REPLACEMENT,INCLUDING ANY INCRIzASES IN PATCH AREA,CURB L-ENGTH,•TAAPFIC.CONTROL AND THE TOWN'S CONTRACT COSTS. THE PSRMANENtPATCH IS TYPICALLY COMOLET'ED WITHIN A Y1 AR OP THE TEMPORARY PATCH OUT IT COULD•BE LATER THAN A YEAR. -Show sketch of proposed workorfamleh Ifilt ss6fldn&-LW two ooples of separate drawing Indloate.North BUB Of Soot Wladsor. No.cuts' "WWI* Est,Patch Slae(s) sf I—Ag Est,PO,ThIftass In. Est.Patch Unit puce$ /sf •10 Est.Patafi•cost S. ' Est Cutb Replsc$Inetri K Est.Curb Unit piton. /tt • -Est:Curb Cast- Est Traftio Unit Cott$ Air Est.Traffic Control Anrt.of beposit 6 40 Total Due tt, ` S'e oZ�• ( )Cash (.)Check# Applicant ie responsible for contaeling Pald Ely, • .the Pvilca.ae t.a d C.13,Y,D. ' -I AQREE'T'OQ FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWk of SOUTH.WINDSOR FOR ANY EXPENSES INCURRED t3Y THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNEOTIQN WITH THIS PERMIT AND THAT I AM FAMILTAR-WtrH AND WILL ASIDE BY THIS RULES AND REGULATIONS FQIz PouTS AS OUTLINED IN.THE TO F I H SOU WIND801TS STREET CUT PEII It UAL, Signed• Date! '7 �3;Did y/SCYt. Drivers License#• , Title: PLEASE ALLOW AT LEAsr TWO WORKINQ DAYS AFTER APPLICATION FOR ISSUANCE-OP PERMIT' WORK MAY NOT BF-0IN UtML A PERMIT HAS DEEN ISSU90 pERMIT SHALL BE KEPT ON JOPSITE AT ALL TIMES- Street Ewzvatton Permit 00 REV 10.22.08, V '� �� � r a , P. '�Q - �y4-�, ce' OQ � f I �ca�- Molloy, Catherine From: CaliCenter@CBYD.com Posted At: Friday, March 04, 2011 2:10 PM Conversation: Locate Request-20111001859 Posted To: CBYD Subject: Locate Request-20111001859 (CALL BEFORE YOU DIG - CT) 03/04/2011 14:10:07 -5G -Cl -CW -GV -OT 6-SW SWINDS -T5 -------------------------------------------------------------------------- ***** EMERGENCY ***** TIME. .14:09 DATE. .03/04/2011 REQUEST NO. . .20111001859 LATITUDE. .41.8288830 LONGITUDE. .-72.5447280 TOWN. . . . . .SOUTH WINDSOR STREET. . . .DEERFIELD LN/ SCOTT DR NEAREST CROSS STREET. . -------------------------------------------------------------------------- TYPE OF WORK. . . . .EXC TO REPAIR WTR MAIN BREAK AREA IS MARKED. . .YES REMARKS: WORKING IN THE RD , CURB TO CURB APROX 15FT EAST OF INTER CREW ON SITE -------------------------------------------------------------------------- START DATE. . . . . .03/04/2011 START TIME. .14:08 (� CALLER. . . . . . . . . .PAUL LOWRY 1 CALL BACK. . . . . . .8-4:30 � l PHONE #. . . . . . . . .860-944-9655CELL FAX #. . . . . . . . . . . ALT. PHONE #. . . .860-623-3355 EMAIL ADDRESS. . . CONTRACTOR. . . . . .CONNECTICUT WATER CO ADDRESS. . . . . . . . .25 NORTH RD CITY. . . . . . . . . . . .EAST WINDSOR STATE. . . . . . . . . . .CT ZIP. . . . . . . . . . . . .06088 -------------------------------------------------------------------------- EXCAVATOR DOING WORK. .SAME ISSUED TO: DATE: TIME: BY: DATE/TIME ARRIVED: TIME LEFT: COMPLETED BY: CALL BACK: 1) DATE: TIME: BY: 2) DATE: TIME: BY: PERSON CONTACTED: PERSON CONTACTED: 1